Forums

Hey,

I may have a job coming up which I have no time for but someone with better skills may not have a problem with. It is a 5 page Employment Application that needs to be turned into an HTML form that I can put into ChronoForms on their web site.

The form is currently in Word.

Here is the unformatted text just so you can see the extent. I would want to get back html form code that plays nice with Chronoforms.
(no proprietary code or MS Word Styles embedded)

I would pay by PayPal & would have to agree to the cost beforehand as I would need my clients okay on it.

GENERAL

DATE OF APPLICATION: ____________________________________________________________

NAME: ____________________________________________________________________________
		Last Name			First Name				Middle Initial

ADDRESS: _________________________________________________________________________
		Street					City, State				Zip

PHONE #: _______________________ CELL #: _______________________________

EMAIL: ________________________________________________________________

ARE YOU ABLE TO PROVIDE VERIFICATION OF YOUR CURRENT LEGAL AUTHORIZATION TO WORK IN THE U.S. FOR ANY EMPLOYER?					YES   �	NO    �
(Proof of U.S. employment authorization status will be required within 3 days of hire)

IF YOU ARE A MINOR CAN YOU PROVIDE WORK AUTHORIZATION?	YES   �	NO    �

ARE YOU OF LEGAL AGE TO SERVE ALCOHOLIC BEVERAGES?		YES   �	NO    �

ARE YOU MEDICALLY RESTRICTED TO LIFT MORE THAN 30 POUNDS?
											YES   �	NO    �


HAVE YOU BEEN CONVICTED OF ANY CRIMINAL OFFENSE OTHER THAN MINOR TRAFFIC VIOLATIONS WITHIN THE LAST SEVEN YEARS?			YES   �	NO    �

IF YES, PLEASE DESCRIBE: 
__________________________________________________________________________________________________________________________________________________________________________

PLEASE NOTE: A record of conviction will not necessarily bar you from employment.  A criminal conviction will be considered only in relation to the job for which you are applying.  The seriousness and nature of the offense, the time elapsed and rehabilitation will be taken into account.  It is only necessary to include convictions that have not been expunged from the records.

HAVE YOU EVER BEEN TERMINATED FROM A JOB?		YES   �	NO    �

IF YES PLEASE EXPLAIN: _____________________________________________________________________________________

_____________________________________________________________________________________

POSITION

ARE YOU SEEKING: 	PART TIME  �	FULL TIME  �	TEMPORARY  �

WHAT POSITION ARE YOU SEEKING: ________________________________________

AVAILABLE TO BEGIN WORK:  IMMEDIATELY  �	OTHER DATE: ______________

HOW DID YOU HEAR ABOUT XXX EMPLOYMENT:

NEWSPAPER  �	INTERNET  �     FRIEND REFERRED by ____________    WALK IN  �

HAVE YOU EVER BEEN EMPLOYED BY XXX BEFORE?

YES   �	NO    �		IF YES, WHEN: ___________________

CIRCLE THE DAYS/SHIFTS YOU ARE AVAILABLE TO WORK:


Tue AM	Wed AM	Thurs AM	Fri AM		Sat AM		Sun Am


Tue PM		Wed PM	Thurs PM	Fri PM		Sat PM		Sun PM	



IF OFFERED THE JOB FOR WHICH YOU ARE APPLYING, ARE YOU ABLE TO PERFORM THE ESSENTIAL DUTIES OF THIS JOB WITH OR WITHOUT REASONABLE ACCOMMODATION?
YES   �	NO    �




EDUCATION & TRAINING

EDUCATIONAL BACKGROUND: Note: Collegiate and graduate educational history should be submitted only for those institutions accredited by an accrediting agency recognized by the federal or state department of education.  If you are unsure of the accreditation of your educational institution, it must be noted on this application.  Submitting degrees or coursework from a non-accredited institution will be considered a misrepresentation.  Please note that we verify educational background.

SCHOOL NAME/CITY, STATE


	DEGREE OR DIPLOMA RECEIVED (PLEASE NOTE GED OR OTHER EQUIVALENCY PROGRAM IF APPLICABLE)	MAJOR STUDIES	YEARS ATTENDED
HIGH SCHOOL

			
UNDERGRADUATE

			
GRADUATE

			
OTHER

			

LIST ANY TRAINING RECEIVED THAT MIGHT BE RELEVANT TO THIS POSITION:
SPECIAL TRAINING
	From (Mo/Yr)	To (Mo/Yr)	Subject	Certificate

				

				
LIST ANY OTHER SPECIAL SKILLS, CERTIFICATES OR LICENSES YOU POSSESS WHICH ARE RELEVANT TO WORKING FOR PEEL WOOD FIRED PIZZA:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

REFERENCE
PLEASE LIST THREE PEOPLE WHO ARE NOT RELATIVES THAT CAN BE CONTACTED.

NAME

	ADDRESS, CITY, STATE	PHONE NUMBER	OCCUPATION
			

EMPLOYMENT HISTORY & EXPERIENCE
List your employers, assignments or volunteer activities starting with your most recent one.  Please explain gaps in time in employment history.  Please indicate if you were employed under a different name than that provided in this application.  Military experience may be included if you obtained skills which would be helpful in the job for which you are applying.
IMPORTANT: THIS SECTION MUST BE COMPLETED IN DETAIL.  YOU MAY ATTACH YOUR RESUME IF YOU WISH, BUT REFERENCE TO A RESUME IS NOT A SUBSTITUE FOR COMPLETING THIS SECTION.

FROM (Mo/Yr):                    TO (Mo/Yr):

	EMPLOYER:
JOB TITLE

	TELEPHONE # & ADDRESS:
IMMEDIATE SUPERVISOR:


TITLE:


MAY WE CONTACT THIS EMPLOYER?
YES   �        NO    �	NATURE OF WORK PERFORMED/RESPONSIBILITIES:
SALARY:
STARTING:
LAST:	REASON FOR LEAVING




FROM (Mo/Yr):                    TO (Mo/Yr):

	EMPLOYER:
JOB TITLE

	TELEPHONE # & ADDRESS:
IMMEDIATE SUPERVISOR:


TITLE:


MAY WE CONTACT THIS EMPLOYER?
YES   �        NO    �	NATURE OF WORK PERFORMED/RESPONSIBILITIES:
SALARY:
STARTING:
LAST:	REASON FOR LEAVING








FROM (Mo/Yr):                    TO (Mo/Yr):

	EMPLOYER:
JOB TITLE

	TELEPHONE # & ADDRESS:
IMMEDIATE SUPERVISOR:


TITLE:


MAY WE CONTACT THIS EMPLOYER?
YES   �        NO    �	NATURE OF WORK PERFORMED/RESPONSIBILITIES:
SALARY:
STARTING:
LAST:	REASON FOR LEAVING

Whoever is interested - let me know - thanks!